Klaus M V, Amarante L, Beam T R
Department of Dermatology, State University of New York, Buffalo.
Arch Dermatol. 1989 Dec;125(12):1644-6.
Of 1515 patients admitted to psychiatric, alcohol, and drug rehabilitation services in the Veterans Administration Medical Center, Buffalo, NY, during the year 1987, who were screened by serologic tests for syphilis, 16 (1.05%) had positive rapid plasma reagin and fluorescent treponemal antibody-absorption tests for syphilis. A positive serologic test result was not suspected on clinical grounds in any of these patients. All were detected by routine screening. Of the 16 patients, 15 had charts available for review. Seven patients were treated for primary or late syphilis; four patients had received previous treatment; and four patients had no evaluation of test results and received no treatment. Routine screening of hospitalized patients who are alcohol or drug abusers is justified, but close follow-up is necessary to make screening meaningful.
1987年期间，纽约州布法罗市退伍军人管理局医疗中心收治了1515名精神疾病、酒精及药物康复患者，这些患者均接受了梅毒血清学检测，其中16人（1.05%）梅毒快速血浆反应素试验及梅毒螺旋体荧光抗体吸收试验呈阳性。这些患者中无一例基于临床症状怀疑血清学检测结果呈阳性，所有病例均通过常规筛查检出。16例患者中有15例有病历可供查阅。7例患者接受了一期或晚期梅毒治疗；4例患者曾接受过治疗；4例患者未对检测结果进行评估，也未接受治疗。对酗酒或吸毒的住院患者进行常规筛查是合理的，但为使筛查有意义，必须进行密切随访。
